Organization Active NPI

Hyndman Area Rescue Squad

  • Ambulance
  • Hyndman, PA
National Provider Identifier
1215023510
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
03228 Issued in PA
Legal business name
HYNDMAN AREA RESCUE SQUAD
Practice address
164 Market Street
Hyndman, PA 15545
Phone
(814) 842-6755
Fax
(814) 842-6755
NPI assigned
Oct 5, 2006
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Terry Lee Jordan
Title
Treasurer
Phone
(814) 842-6398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 03228 PA Primary

Addresses

Primary practice location

164 Market Street
Hyndman, PA 15545

Mailing address

892 New Castle Rd
Slippery Rock, PA 16057-4228
Phone (800) 280-5974

Other identifiers 2

IdentifierTypeStateIssuer
590002475OtherPARR MEDICARE
0007658810002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070330000025 PA Part B Supplier - Ambulance Service Supplier 7618071747 Practice locations: Hyndman, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2138246Hyndman Area Rescue Squad164 Market Street, Hyndman, PA 15545Certificate of waiverOct 11, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1215023510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 NEW CASTLE RD",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160574228",
            "telephone_number": "800-280-5974",
            "fax_number": "724-234-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 MARKET STREET",
            "city": "HYNDMAN",
            "state": "PA",
            "postal_code": "15545",
            "telephone_number": "814-842-6755",
            "fax_number": "814-842-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYNDMAN AREA RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "814-842-6398",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "03228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590002475",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007658810002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyndman, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.